腎癌267例臨床分析.pdf

1、北京大學(xué)碩士學(xué)位論文腎癌267例臨床分析姓名：趙連明申請學(xué)位級別：碩士專業(yè)：泌尿外科指導(dǎo)教師：馬潞林20050501北京大學(xué)碩士學(xué)位論文2ABSTRACTObjectiveTosummarizetheclinicalacteristicsofrenalcellcarcinoma(RCC)toexplethemethodsofdiagnosistreatmentriskfacts.Methods267casesofrenalcellcar

2、cinomabetween1985year2005yearinourhospitalwerereviewedftheirriskfactdiagnosistreatmentprognosis.SignificantprognosticfactswereevaluatedbyCox′smultivariateproptionalhazardmodel.ResultsAmongthe267patientstheratioofmaletofe

3、malewas2:1.Themeanagewas58.512.00yearsold.Themeancourseofdiseaseswas3.50.69months.Thereare144patientsfoundbyphysicalexamination.Theclassicallydescribedtriad(grosshematuriaflankpainapalpablemass)occurredinonly2.6%.Thediag

4、nosticmeansweremainlyultrasonographyCTscanning.Radicalnephrectomywasdonef217(81.3%)otherproceduresf49amongthesetherearethreetumscan’tberemoved.Thepathologicalresultsshowedthat218cases(81.6%)wereclearcellcarcinoma16cases(

5、6.0%)ofgranularcellcarcinoma23cases(8.6%)beingcombinationoftheabovetwovarieties10beingrenalcellsofothertypes.201caseshavebeenfollowedup:threeyearfiveyeartenyearsurvivalrateswere68.6%、51.1%29.3%respectively.Themeanriskfac

6、tsaremetastasis、stagehistologictype.Theprotectfactisinterferon.ConclusionAsymptomaticrenalcellcarcinomawasfoundearlierbyBultrsonicCTmeme.Earlydiagnosiswasthecriticalpointsfachievinglongtermsurvivalsofpatientswithrenalcel